Mobile triage management in disaster area networks using decentralized replication

Abstract

In large-scale disaster scenarios, efficient triage management is a major challenge for emergency services. Rescue forces traditionally respond to such incidents with a paper-based triage system, but technical solutions can potentially achieve improved usability and data availability. We develop a triage management system based on commodity hardware and software components to verify this claim. We use a single-hop, ad-hoc network architecture with multi-master replication, a tablet-based device setup, and a mobile application for emergency services. We study our system in cooperation with regional emergency services and report on experiences from a field exercise. We show that state-of-the-art commodity technology provides the means necessary to implement a triage management system compatible with existing emergency service procedures, while introducing additional benefits. This work highlights that powerful real-world ad-hoc networking applications do not require unreasonable development effort, as existing tools from distributed systems, such as replicating NoSQL databases, can be used successfully.